KEVIN PAUL HARRIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

KEVIN PAUL

Last Name

HARRIS

Business Name

KEVIN PAUL HARRIS

Original Issue Date

05/09/1991

Effective Date

05/09/1991

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005